Table 1. Metagenomic methods: community profiling vs functional metagenomics Common Features Unique to community profiling Unique to functional metagenomics DNA obtained directly from a wound sample; culture independent Marker genes such as 16S rRNA gene from a community of bacteria, or 18S rRNA and internal transcribed spacer (ITS) genes for fungi Can provide genomic DNA from a community of microorganisms. Applicable to all microorganisms including bacteria, fungi, viruses and archaea Need to remove human host DNA contamination PCR primers amplify only marker gene fragments from targeted microbes, excluding DNA from the human host To avoid biases human DNA must be removed after sequencing through computational methods Sequenced using high-throughput sequencing technologies Sequencing errors in highly conserved marker genes can lead to incorrect species assignment Taxonomic assignment based on multiple genes from genomic DNA can lead to more accurate taxonomic community profiles Reduction in the overall cost of sequencing Sequencing is directed at only microbial marker genes, making sequencing more cost effective Sequencing can be more cost-prohibitive due to human host contamination (~90% of DNA in wound samples) Data represent a community of microorganisms and reflect organismal diversity and abundance Community profile is based only on taxonomy Community profile is based on taxonomy and function, indicating the metabolic potential of a microbial community Less than 1% of organisms are known, leading to incomplete annotation Closely-related organisms are indistinguishable based on marker gene sequences alone. Not all bacteria are represented in databases of known 16S rRNA genes or 18S and internal transcribed spacer (ITS) for fungi Not all microbial genomes exist in databases of known species leading to difficulty in assigning sequences to discrete organisms Has potential for serendipitous discovery of clinically relevant organisms or function Novel variations in the hypervariable regions of marker genes can indicate new species Genomes of unknown organisms can be reconstructed from genomic fragments in metagenomes, providing insights into new species and function Has potential to find humanmicrobe interactions Can find links between microbial community composition and clinical factors or patient outcomes Can find links between microbial community composition & function and clinical factors or patient outcomes